Individual
KRISTEN DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3822 HWY 124E, OLLA, LA 71465
(318) 332-0573
Mailing address
3822 HWY 124E, OLLA, LA 71465
(318) 332-0573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12116
LA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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